| NPI | 1649802232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP144605) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP144605) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP144605) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP144605) | |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2022-11-27 |